Provider Demographics
NPI:1750940656
Name:SCHMITT, ABBEY L (AUD CCC-A)
Entity type:Individual
Prefix:
First Name:ABBEY
Middle Name:L
Last Name:SCHMITT
Suffix:
Gender:F
Credentials:AUD CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3455 REGENCY PARK DR
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-2559
Mailing Address - Country:US
Mailing Address - Phone:810-694-0600
Mailing Address - Fax:810-694-0601
Practice Address - Street 1:3455 REGENCY PARK DR
Practice Address - Street 2:
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-2559
Practice Address - Country:US
Practice Address - Phone:810-694-0600
Practice Address - Fax:810-694-0601
Is Sole Proprietor?:No
Enumeration Date:2019-06-13
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22222222231H00000X
MI1601001010231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1601001010OtherSTATE LICENSE